NPI: 1932598323

TARA WILLIAMS, FNP-C

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• Entity Type: Individual (Gender: F)
• Last Observed in the System¹ on:
• First Entered in the System¹ on: 2015-01-22
• Medicare Revalidation Due Date²: Not Available
• Certified the records on: 2022-05-17
• NPPES Profile Page: https://npiregistry.cms.hhs.gov/provider-view/1932598323
• CMS Profile Page: https://data.cms.gov/tools/medicare-physician-other-practitioner-look-up-tool/provider/1932598323

Medicare Order and Referring Eligibility

• Update Date: 2024-09-05; the data is from the CMS site.
• Part B Referral: N
• Durable Medical Equipment Order: Y
• Home Health Referral: N
• Power Mobility Device Referral: Y
• Hospice Referral: N

Other IDs

• 2018-01-07 ~ Present, MEDICAID in OH, 0118676

Other Names

• 2018-01-07 ~ Present ³ , Former Name, TARA LYNN JACOBS

Addresses

• Primary & Current, 4285 W STATE ROUTE 571, WEST MILTON, OH 453839786
• 2019-12-19 ~ 2022-05-08, 1510 Covington Ave 1510 Covington Ave, Piqua, OH 45356
• 2018-10-07 ~ 2022-05-08, 1 Reynolds Way Bldg 1 1 Reynolds Way Bldg 1, Dayton, OH 45430
• 2018-07-08 ~ 2022-05-08, 400 Corporate Center Dr 400 Corporate Center Dr, Vandalia, OH 45377

Taxonomies

• 2018-01-07 ~ Present ³ , Family Nurse Practitioner (363LF0000X), Primary

Licenses

• 2018-10-07 ~ Present , APRN.CNP.16981, OH
• 2018-01-07 ~ 2018-09-09 ³ , COA.16981-NP, OH

Orgs. with the Same Mailing Address (1)

The list below shows the Organization Entities (Entity Type Code: 2) with the same mailing addresses. They may be other branch offices or co-located businesses.

• WHOLISTIC HEALERS LLC (1942946553)

Orgs. with the Same Practice Address (1)

The list below shows the Organization Entities (Entity Type Code: 2) with the same practice addresses. They may be co-located businesses.

• WHOLISTIC HEALERS LLC (1942946553)

Notes

1. https://nppes.cms.hhs.gov/#/
2. https://data.cms.gov/tools/medicare-revalidation-list
3. Our records go back to 2018-01-07, and any records preceding this date are not captured. Please regard 2018-01-07 as the earliest date we could verify the records back then, not as the actual date for the time range.
4. https://openpaymentsdata.cms.gov/
5. The information is based on the UnitedHealthcare Transparency in Coverage site.